Epidural Steroid Injections
- Lumbar Epidural Steroid Injections
- Thoracic Epidural Steroid Injections
- Cervical Epidural Steroid Injections
- Caudal Epidural Steroid Injections
Epidural steroid injections are a safe and effective way to manage pain caused by irritated nerves. These injections use local anesthetics and steroids to reduce inflammation and relieve irritated nerves. They take only a few minutes and can be done anywhere along the length of the spine:
- lumbar (lower back)
- thoracic (mid-back)
- cervical (neck)
There are several types of epidural steroid injections:
- transforaminal – from the side, where the nerves exit the spine
- translaminar – in the middle, similar to what is done for women in labor
- caudal – from the base of the spine, just above the coccyx (tailbone)
Unlike epidurals used for women in labor, we use fluoroscopic (x-ray) image guidance to make the epidural steroid injections safer and to precisely target the area we would like to treat. Because it is an injection to a specifically targeted area, we can use a much smaller dose of steroid but get a much better result, with fewer side effects than using oral medications. All of this makes epidural steroid injections safer and more effective.
We understand that undergoing any medical procedure can be daunting, but rest assured, our team is here to ensure your comfort and safety.
When to Expect Relief and How Long It Lasts
The steroid begins to take effect immediately as well but takes about 3-7 days to reach its maximum effect. It lasts between 3-6 months. The goal is to use this time to begin a rehabilitation and exercise program to keep the pain from coming back.
Is Sedation Available?
This is a minor, low risk procedure that typically does not require sedation and can easily be done with just local anesthetic. For those patients who prefer sedation, we offer sedation both in the office and in the surgery center.
Instructions Before the Procedure
2. Please let us know if there are any changes to your health, such as a new pregnancy, or if you start antibiotics before your procedure.
3. If you choose sedation in our office, plan for a friend or family member to drive you home afterward. They are welcome to wait in our comfortable waiting area during your procedure, or you can call them when you are ready to leave.
4. If you are going to have sedation in the surgery center or hospital, we will provide additional instructions.
Instructions After the Procedure
- Take it easy on the day of your procedure. You can return to your regular activities the following day.
- Avoid operating heavy or potentially dangerous equipment on the day of your procedure.
- If you had sedation, plan to avoid driving for the rest of the day.
Alcohol: If you received sedation, please skip alcohol for the rest of the day.
Dressings: You can gently remove any adhesive bandages, like Band-Aids®, the day after your procedure.
Blood Thinners: You can restart your blood thinners the day after your procedure unless we have advised you otherwise.
Comfort at the Injection Site: It’s normal to feel some mild discomfort where you received the injection. Applying ice can help ease the soreness—just remember to wrap the ice in a cloth and avoid placing it directly on your skin. Refrain from using heat on the injection site on the day of your procedure.